Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRUNO CRISTALLI DA COSTA DDS
NPI 1275532384
Dentist in Portland, OR

Q: What is Bruno Da Costa's NPI number?

The NPI number for Bruno Da Costa is 1275532384. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Bruno Da Costa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Bruno Da Costa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2005PECOS Enrolled

2250 NW FLANDERS ST, 112, PORTLAND, OR 97210(503) 248-1970(503) 248-6811 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bruno Cristalli Da Costa Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUNO CRISTALLI DA COSTA DDS (NPI 1275532384) is an individual dentist in Portland, Oregon, licensed in Oregon (8550) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275532384

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BRUNO CRISTALLI DA COSTACredential: DDS

Location Address2250 NW FLANDERS ST, 112Portland, OR 97210-3443

Mailing Address2250 Nw Flanders St, 112Portland, OR 97210-3443 · (503) 248-1970 · Fax (503) 248-6811

Phone(503) 248-1970

Fax(503) 248-6811

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1275532384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · 8550

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2250 NW FLANDERS ST, Portland, OR 97210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bruno Cristalli Da Costa Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEE WOLFE SHERSHOW M.D.

Specialist

2250 NW FLANDERS ST, SUITE #300
PORTLAND, OR 97210

Multnomah County (503) 243-1422

MS. MARY E. IANNUCCILLO MSW

Social Worker (Clinical)

2250 NW FLANDERS ST, SUITE 103
PORTLAND, OR 97210

Multnomah County (503) 796-9242

LEE HULLENDER RUBIN, DAOM, LAC

Acupuncturist

2250 NW FLANDERS ST, STE 205
PORTLAND, OR 97210

Multnomah County (503) 277-4050

PSYCHIATRIC CARE PC

Psychiatry & Neurology (Child & Adolescent Psychiatry)

2250 NW FLANDERS ST, SUITE 103
PORTLAND, OR 97210

Multnomah County (503) 222-1524

DR. SANDRA J KRUSSEL D.O.

Psychiatry & Neurology (Psychiatry)

2250 NW FLANDERS ST, SUITE 306
PORTLAND, OR 97210

Multnomah County (503) 226-0558

DR. BARBARA FRIEDMAN SAX MD

Psychiatry & Neurology (Psychiatry)

2250 NW FLANDERS ST, SUITE 301
PORTLAND, OR 97210

Multnomah County (503) 894-5845

ANN ANTHONY MD

Family Medicine

2250 NW FLANDERS ST, STE 301
PORTLAND, OR 97210

Multnomah County (503) 223-1434

JENNIFER DIMON

Physical Therapist

2250 NW FLANDERS ST, SUITE GARDEN 01
PORTLAND, OR 97210

Multnomah County (503) 224-1947

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruno Da Costa's NPI number?

The NPI number for Bruno Da Costa is 1275532384. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Bruno Da Costa located?

Bruno Da Costa practices at 2250 NW Flanders St 112, Portland, OR 97210. The listed phone number is (503) 248-1970.

What is Bruno Da Costa's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bruno Da Costa enrolled in Medicare?

Yes. Bruno Da Costa is registered in the Medicare PECOS enrollment system.

What insurance does Bruno Da Costa accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Bruno Da Costa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruno Da Costa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.